Sepsis & EGDT
July/August
Watch Manny’s lecture (even if you saw it the first time). Here are Slides as well.
Read the original EGDT study
and the follow-up with rationale (Chest 2006;130:1579)
and then the seminal non-invasive paper, using 10% lactate clearance instead of ScvO2 (JAMA 2010;303(8):739)
Read the review of sepsis literature by Nguyen
Read the 2008 Surviving Sepsis Guidelines
Know intimately, the NYC STOP Sepsis Campaign
Encourage your friends to fill out the sepsis data sheet on every septic patient
Read study on ABX in 1st hour of severe sepsis
How about understanding the mottling score (Intensive Care Med. 2011 May;37(5):801-7)
Read an article on fluid resusctiation for sepsis (Chest 2008;133:252)
If you’re still hungry for more, start reading through the sepsis chapter at crashingpatient.com
Monitoring
Sept/Oct
For the rest of the year, start working your way through ccmtutorials by Neligan
Watch the 3 Manny Episodes at EMCrit.org
Read Chad’s and my monitoring article
Read more about the concepts of CVP
Then read the attempt to kill the use of CVP by Marik
Research ScvO2 and find articles that support or refute its use in septic patients, synthesize this evidence and send it to me
Research the use of inotropes in severe sepsis, synthesize this evidence and send it to me
Read the sepsis evidence section
Ventilation
Nov/Dec
Physiology Review in Story Form and then Part II
Read the Resp Fx sections of CCM Tutorials, Ignore the APRV Section
best review of ventilators and ventilation
ITACCS Mechanical Ventilation Guidelines
Best Review of sedation-for-mech-vent-pts
You need to be able to answer these questions on mech vent